Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fulton Family Psychiatry PC

Organization Psychiatry Physician · NPI 1912563867

Fulton Family Psychiatry PC is a Psychiatry Physician in Fulton, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

451 S 4th St
Fulton, NY 13069-2916
Phone: (315) 887-1059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1912563867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cecile Matip — Md · (315) 887-1059
NPI enumeratedMay 16, 2019
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressPo Box 380, Monsey, NY 10952-0380

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